A and B Recommendations _ United States Preventive Services Taskforce.PDF

A & B Recommendations A listing of all the Recommendations with a grade of either A or B. A and B grade recommendations are services that the Task Force most highly recommends implementing for preventive care and that are also relevant for implementing the Affordable Care Act. These preventive serv...

A & B Recommendations A listing of all the Recommendations with a grade of either A or B. A and B grade recommendations are services that the Task Force most highly recommends implementing for preventive care and that are also relevant for implementing the Affordable Care Act. These preventive services have a high or moderate net benefit for patients. Release Date of Topic Description Grade Current Recommendation The USPSTF recommends 1-time screening for Abdominal Aortic Aneurysm: abdominal aortic aneurysm (AAA) with Screening: men aged 65 to 75 years B December 2019 * ultrasonography in men aged 65 to 75 years who have who have ever smoked ever smoked. Anxiety Disorders in Adults: The USPSTF recommends screening for anxiety Screening: adults 64 years or disorders in adults, including pregnant and postpartum B June 2023 younger, including pregnant and persons. postpartum persons Anxiety in Children and The USPSTF recommends screening for anxiety in Adolescents: Screening: children B October 2022 children and adolescents aged 8 to 18 years. and adolescents aged 8 to 18 years Aspirin Use to Prevent The USPSTF recommends the use of low-dose aspirin Preeclampsia and Related (81 mg/day) as preventive medication after 12 weeks of Morbidity and Mortality: Preventive gestation in persons who are at high risk for B September 2021 * Medication: pregnant persons at preeclampsia. See the Practice Considerations section high risk for preeclampsia for information on high risk and aspirin dose. Asymptomatic Bacteriuria in The USPSTF recommends screening for asymptomatic Adults: Screening: pregnant B September 2019 * bacteriuria using urine culture in pregnant persons. persons The USPSTF recommends that primary care clinicians BRCA-Related Cancer: Risk assess women with a personal or family history of Assessment, Genetic Counseling, breast, ovarian, tubal, or peritoneal cancer or who have and Genetic Testing: women with a an ancestry associated with breast cancer susceptibility personal or family history of breast, 1 and 2 (BRCA1/2) gene mutations with an appropriate B August 2019 * ovarian, tubal, or peritoneal cancer brief familial risk assessment tool. Women with a or an ancestry associated with positive result on the risk assessment tool should brca1/2 gene mutation receive genetic counseling and, if indicated after counseling, genetic testing. The USPSTF recommends that clinicians offer to Breast Cancer: Medication Use to prescribe risk-reducing medications, such as tamoxifen, Reduce Risk: women at increased raloxifene, or aromatase inhibitors, to women who are B September 2019 * risk for breast cancer aged 35 years at increased risk for breast cancer and at low risk for or older adverse medication effects. Breast Cancer: Screening: women The USPSTF recommends biennial screening B April 2024 * aged 40 to 74 years mammography for women aged 40 to 74 years. † Breastfeeding: Primary Care The USPSTF recommends providing interventions Interventions: pregnant women, during pregnancy and after birth to support B October 2016 * new mothers, and their children breastfeeding. The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with Cervical Cancer: Screening: women cervical cytology alone, every 5 years with high-risk A August 2018 * aged 21 to 65 years human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting). See the Clinical Considerations section for the relative benefits and harms of alternative screening strategies for women 21 years or older. The USPSTF recommends screening for chlamydia in Chlamydia and Gonorrhea: all sexually active women 24 years or younger and in Screening: sexually active women, B September 2021 * women 25 years or older who are at increased risk for including pregnant persons infection. The USPSTF recommends screening for gonorrhea in Chlamydia and Gonorrhea: all sexually active women 24 years or younger and in Screening: sexually active women, B September 2021 * women 25 years or older who are at increased risk for including pregnant persons infection. The USPSTF recommends screening for colorectal Colorectal Cancer: Screening: cancer in adults aged 45 to 49 years. See the "Practice B May 2021 * adults aged 45 to 49 years Considerations" section and Table 1 for details about screening strategies. The USPSTF recommends screening for colorectal Colorectal Cancer: Screening: cancer in all adults aged 50 to 75 years. See the A May 2021 * adults aged 50 to 75 years "Practice Considerations" section and Table 1 for details about screening strategies. Depression and Suicide Risk in The USPSTF recommends screening for depression in Adults: Screening: adults, including the adult population, including pregnant and B June 2023 * pregnant and postpartum persons, postpartum persons, as well as older adults. and older adults (65 years or older) Depression and Suicide Risk in The USPSTF recommends screening for major Children and Adolescents: depressive disorder (MDD) in adolescents aged 12 to 18 B October 2022 * Screening: adolescents aged 12 to years. 18 years Falls Prevention in Community- The USPSTF recommends exercise interventions to Dwelling Older Adults: prevent falls in community-dwelling adults 65 years or B June 2024 Interventions: community-dwelling older who are at increased risk for falls. adults 65 years or older Folic Acid Supplementation to The USPSTF recommends that all persons planning to Prevent Neural Tube Defects: or who could become pregnant take a daily Preventive Medication: persons A August 2023 * supplement containing 0.4 to 0.8 mg (400 to 800 mcg) who plan to or could become of folic acid. pregnant Gestational Diabetes: Screening: The USPSTF recommends screening for gestational asymptomatic pregnant persons at diabetes in asymptomatic pregnant persons at 24 B August 2021 * 24 weeks of gestation or after weeks of gestation or after. Healthy Diet and Physical Activity for Cardiovascular Disease The USPSTF recommends offering or referring adults Prevention in Adults With with cardiovascular disease risk factors to behavioral Cardiovascular Risk Factors: B November 2020 * counseling interventions to promote a healthy diet and Behavioral Counseling physical activity. Interventions: adults with cardiovascular disease risk factors The USPSTF recommends that clinicians offer pregnant Healthy Weight and Weight Gain In persons effective behavioral counseling interventions Pregnancy: Behavioral Counseling aimed at promoting healthy weight gain and B May 2021 Interventions: pregnant persons preventing excess gestational weight gain in pregnancy. The USPSTF recommends screening for hepatitis B Hepatitis B Virus Infection in virus (HBV) infection in adolescents and adults at Adolescents and Adults: Screening: increased risk for infection. See the Practice B December 2020 * adolescents and adults at increased Considerations section for a description of adolescents risk for infection and adults at increased risk for infection. Hepatitis B Virus Infection in The USPSTF recommends screening for hepatitis B Pregnant Women: Screening: virus (HBV) infection in pregnant women at their first A July 2019 * pregnant women prenatal visit Hepatitis C Virus Infection in The USPSTF recommends screening for hepatitis C Adolescents and Adults: Screening: B March 2020 * virus (HCV) infection in adults aged 18 to 79 years. adults aged 18 to 79 years The USPSTF recommends that clinicians provide or High Body Mass Index in Children refer children and adolescents 6 years or older with a and Adolescents: Interventions: high body mass index (BMI) (≥95th percentile for age B June 2024 * children and adolescents 6 years or and sex) to comprehensive, intensive behavioral older interventions. See the Practice Considerations section for more information about behavioral interventions. The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Human Immunodeficiency Virus Younger adolescents and older adults who are at (HIV) Infection: Screening: increased risk of infection should also be screened. See A June 2019 * adolescents and adults aged 15 to the Clinical Considerations section for more 65 years information about assessment of risk, screening intervals, and rescreening in pregnancy.  The USPSTF recommends that clinicians screen for HIV Human Immunodeficiency Virus infection in all pregnant persons, including those who (HIV) Infection: Screening: pregnant A June 2019 * present in labor or at delivery whose HIV status is persons unknown. The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure Hypertension in Adults: Screening: measurement (OBPM). The USPSTF recommends adults 18 years or older without A April 2021 * obtaining blood pressure measurements outside of the known hypertension clinical setting for diagnostic confirmation before starting treatment. Hypertensive Disorders of The USPSTF recommends screening for hypertensive Pregnancy: Screening: disorders in pregnant persons with blood pressure B September 2023 * asymptomatic pregnant persons measurements throughout pregnancy. The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of Intimate Partner Violence, Elder reproductive age and provide or refer women who Abuse, and Abuse of Vulnerable screen positive to ongoing support services. See the B October 2018 * Adults: Screening: women of Clinical Considerations section for more information on reproductive age effective ongoing support services for IPV and for information on IPV in men. Latent Tuberculosis Infection in The USPSTF recommends screening for LTBI in Adults: Screening: asymptomatic populations at increased risk. See the "Assessment of B May 2023 * adults at increased risk of latent Risk" section for additional information on adults at tuberculosis infection (ltbi) increased risk. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in Lung Cancer: Screening: adults adults aged 50 to 80 years who have a 20 pack-year aged 50 to 80 years who have a 20 smoking history and currently smoke or have quit pack-year smoking history and within the past 15 years. Screening should be B March 2021 * currently smoke or have quit within discontinued once a person has not smoked for 15 years the past 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. Ocular Prophylaxis for Gonococcal The USPSTF recommends prophylactic ocular topical Ophthalmia Neonatorum: medication for all newborns to prevent gonococcal A January 2019 * Preventive Medication: newborns ophthalmia neonatorum. The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent Osteoporosis to Prevent Fractures: osteoporotic fractures in postmenopausal women Screening: postmenopausal younger than 65 years who are at increased risk of B June 2018 * women younger than 65 years at osteoporosis, as determined by a formal clinical risk increased risk of osteoporosis assessment tool. See the Clinical Considerations section for information on risk assessment. Osteoporosis to Prevent Fractures: The USPSTF recommends screening for osteoporosis Screening: women 65 years and with bone measurement testing to prevent B June 2018 * older osteoporotic fractures in women 65 years and older. The USPSTF recommends that clinicians provide or Perinatal Depression: Preventive refer pregnant and postpartum persons who are at Interventions: pregnant and B February 2019 increased risk of perinatal depression to counseling postpartum persons interventions. The USPSTF recommends screening for prediabetes Prediabetes and Type 2 Diabetes: and type 2 diabetes in adults aged 35 to 70 years who Screening: asymptomatic adults have overweight or obesity. Clinicians should offer or B August 2021 * aged 35 to 70 years who have refer patients with prediabetes to effective preventive overweight or obesity interventions. The USPSTF recommends that clinicians prescribe preexposure prophylaxis using effective antiretroviral Prevention of Acquisition of HIV: therapy to persons who are at increased risk of HIV Preexposure Prophylaxis: acquisition to decrease the risk of acquiring HIV. See A August 2023 * adolescents and adults at increased the Practice Considerations section for more risk of hiv information about identification of persons at increased risk and about effective antiretroviral therapy. Prevention of Dental Caries in The USPSTF recommends that primary care clinicians Children Younger Than 5 Years: prescribe oral fluoride supplementation starting at age B December 2021 * Screening and Interventions: 6 months for children whose water supply is deficient children younger than 5 years in fluoride. Prevention of Dental Caries in The USPSTF recommends that primary care clinicians Children Younger Than 5 Years: apply fluoride varnish to the primary teeth of all infants B December 2021 * Screening and Interventions: and children starting at the age of primary tooth children younger than 5 years eruption. Rh(D) Incompatibility: Screening: The USPSTF strongly recommends Rh(D) blood typing pregnant women, during the first and antibody testing for all pregnant women during A February 2004 * pregnancy-related care visit their first visit for pregnancy-related care. The USPSTF recommends repeated Rh(D) antibody Rh(D) Incompatibility: Screening: testing for all unsensitized Rh(D)-negative women at 24 unsensitized rh(d)-negative B February 2004 * to 28 weeks' gestation, unless the biological father is pregnant women known to be Rh(D)-negative. The USPSTF recommends behavioral counseling for all Sexually Transmitted Infections: sexually active adolescents and for adults who are at Behavioral Counseling: sexually increased risk for sexually transmitted infections (STIs). B August 2020 * active adolescents and adults at See the Practice Considerations section for more increased risk information on populations at increased risk for acquiring STIs.  The USPSTF recommends counseling young adults, Skin Cancer Prevention: Behavioral adolescents, children, and parents of young children Counseling: young adults, about minimizing exposure to ultraviolet (UV) radiation B March 2018 * adolescents, children, and parents for persons aged 6 months to 24 years with fair skin of young children types to reduce their risk of skin cancer. Statin Use for the Primary Prevention of Cardiovascular The USPSTF recommends that clinicians prescribe a Disease in Adults: Preventive statin for the primary prevention of CVD for adults aged Medication: adults aged 40 to 75 40 to 75 years who have 1 or more CVD risk factors (i.e. B August 2022 * years who have 1 or more dyslipidemia, diabetes, hypertension, or smoking) and cardiovascular risk factors and an an estimated 10-year risk of a cardiovascular event of estimated 10-year cardiovascular 10% or greater. disease (cvd) risk of 10% or greater Syphilis Infection in Nonpregnant Adolescents and Adults: Screening: The USPSTF recommends screening for syphilis asymptomatic, nonpregnant infection in persons who are at increased risk for A September 2022 * adolescents and adults who are at infection. increased risk for syphilis infection Syphilis Infection in Pregnant The USPSTF recommends early screening for syphilis Women: Screening: pregnant A September 2018 * infection in all pregnant women. women The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, Tobacco Smoking Cessation in and provide behavioral interventions and US Food and Adults, Including Pregnant Persons: A January 2021 * Drug Administration (FDA)--approved Interventions: nonpregnant adults pharmacotherapy for cessation to nonpregnant adults who use tobacco. The USPSTF recommends that clinicians ask all Tobacco Smoking Cessation in pregnant persons about tobacco use, advise them to Adults, Including Pregnant Persons: stop using tobacco, and provide behavioral A January 2021 * Interventions: pregnant persons interventions for cessation to pregnant persons who use tobacco. Tobacco Use in Children and The USPSTF recommends that primary care clinicians Adolescents: Primary Care provide interventions, including education or brief Interventions: school-aged children B April 2020 * counseling, to prevent initiation of tobacco use among and adolescents who have not school-aged children and adolescents. started to use tobacco The USPSTF recommends screening for unhealthy Unhealthy Alcohol Use in alcohol use in primary care settings in adults 18 years or Adolescents and Adults: Screening older, including pregnant women, and providing and Behavioral Counseling B November 2018 * persons engaged in risky or hazardous drinking with Interventions: adults 18 years or brief behavioral counseling interventions to reduce older, including pregnant women unhealthy alcohol use.  The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when Unhealthy Drug Use: Screening: services for accurate diagnosis, effective treatment, and B June 2020 adults age 18 years or older appropriate care can be offered or referred. (Screening refers to asking questions about unhealthy drug use, not testing biological specimens.) Vision in Children Ages 6 Months to The USPSTF recommends vision screening at least 5 Years: Screening: children aged 3 once in all children aged 3 to 5 years to detect B September 2017 * to 5 years amblyopia or its risk factors. The USPSTF recommends that clinicians offer or refer Weight Loss to Prevent Obesity- adults with a body mass index (BMI) of 30 or higher Related Morbidity and Mortality in (calculated as weight in kilograms divided by height in B September 2018 * Adults: Behavioral Interventions: meters squared) to intensive, multicomponent adults behavioral interventions. †The Department of Health and Human Services, under the standards set out in revised Section 2713(a)(5) of the Public Health Service Act and Section 223 of the 2021 Consolidated Appropriations Act, utilizes the 2002 recommendation on breast cancer screening of the U.S. Preventive Services Task Force. To see the USPSTF 2016 recommendation on breast cancer screening, go to http://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening1. *Previous recommendation was an “A” or “B.”